MY CHEM LAB LLC NPI 1780457002

NPI Information

  • NPI: 1780457002
  • Provider Name: MY CHEM LAB LLC
  • Classification: Technician, Pathology - 246RP1900X
  • Specialization: Phlebotomy
  • Entity Type: Organization
  • CLIA Number: 10D2261234
  • Address: 602 JACKSON ST
    WILDWOOD, FL
    ZIP 34785
  • Phone: (352) 571-3148

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NPI Details

MY CHEM LAB LLC is a phlebotomy technician pathology in Wildwood, FL. MY CHEM LAB LLC NPI is 1780457002. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

602 JACKSON ST
WILDWOOD, FL
ZIP 34785-301
Phone: (352) 571-3148

The provider's authorized official is Tasha D Lasane .
The authorized official title is Owner and has the following contact phone number (352) 571-3148.

The CLIA number assigned to this NPI record is 10D2261234 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2023 and was last updated on 10/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246RP1900XTechnician, PathologyPhlebotomyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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